Children's Urological Issues and Interventions

Children's Urological Issues and Interventions

Pediatric Urology

Let's break down the most common urologic surgical procedures for both inpatient and outpatient settings, along with insights into pediatric urological conditions and treatments:


  1. Kidney Removal (Nephrectomy): Surgical extraction of a kidney.
  2. Renal Pelvis Reconstruction (Pyeloplasty): Surgical restoration of the renal pelvis, alleviating uretero-pelvic junction (UPJ) obstructions.
  3. Ureteral Reimplantation: Surgical relocation of the ureter into the bladder wall to prevent urine reflux.
  4. Ureteral Stent Placement: Insertion of a tube into the ureter to prevent or treat urine flow obstructions.


  1. Circumcision: Surgical removal of the foreskin from the penis.
  2. Cystoscopy: Endoscopic examination of the urinary bladder through the urethra.
  3. Excision of Hydrocele
  4. Hypospadias Correction: Surgical intervention to reconstruct a functional penis.
  5. Inguinal Hernia Repair
  6. Meatoplasty
  7. Orchiopexy: Surgery to move an undescended testicle into the scrotum.
  8. Repair of Buried Penis/Penile Torsion/Chordee
  9. Scrotoplasty

Now, let's dive into some pediatric urological conditions and their treatments:

Bedwetting and Urinary Problems in Children:

Bedwetting affects around 9 million children annually. Dr. Joseph Barone's book, “It’s Not Your Fault!,” explores bedwetting, toilet training problems, and common urinary issues. Treatment involves thorough evaluation and, if needed, a bedwetting alarm system or medications.

Circumcision and Correction:

State-of-the-art techniques are used for safe foreskin removal. Correction involves plastic surgery techniques to restore normal form and function with minimal postoperative care.

Urinary Tract Infections:

Common bacterial infections may require referral to a pediatric urologist. Diagnosis includes urine analysis, culture, and a course of oral antibiotics. Post-infection, kidney and bladder testing may be ordered to check for underlying issues.

Urinary Tract Obstructions:

Often diagnosed prenatally; monitoring is crucial to detect cases that may worsen over time. Hydronephrosis may resolve on its own, but regular monitoring is advised.


Surgical repair creates a functional and normal-looking penis. "No touch" technique used for safe repairs.

Pediatric Orchiopexy (Undescended Testis):

Aims to move an undescended testis into its normal position to prevent infertility.


Dilated veins repaired using laparoscopic, microscopic, or robotic techniques.

Meatal Stenosis:

Narrowing of the urethral opening corrected using plastic surgery techniques.

Testis Torsion:

Surgical correction to restore blood flow.

Labial Adhesions:

Repaired using plastic surgery techniques to restore normal function.

Kidney Stones:

Various procedures performed to remove or reduce the size of stones.

UPJ Obstruction:

Robotic techniques used in pyeloplasty to relieve the obstruction.

Vesicoureteral Reflux:

Corrected with minimally invasive approaches.

Spina Bifida and Neurogenic Bladder:

Neurogenic bladder complications addressed with treatments to improve urination.

MACE (Malone Anterograde Continence Enema):

Surgical procedure aiding children with bowel control issues.

Mitrofanoff Procedure:

Performed when a child cannot empty their bladder normally.

Bladder Augmentation:

Surgical procedure to increase bladder size and prevent kidney damage caused by small or stiff bladders.

This comprehensive guide covers a wide range of pediatric urological concerns and the corresponding interventions to ensure the well-being of the little ones.

The content on this website serves as a general summary for public information only. This information is not medical advice, nor does it act as a replacement for professional medical advice, diagnosis, or treatment. For inquiries about a medical condition, it is essential to consult with a doctor or another qualified health professional.

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Pediatric urology